BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 年龄>50~60 岁
  • 晕厥
  • 先兆晕厥

其他诊断因素

  • 男性
  • 疲劳
  • 呼吸困难
  • 胸痛、心悸和恶心或呕吐

危险因素

  • 在传导系统中与年龄有关的退化性改变
  • 迷走神经张力升高
  • 房室结传导阻滞剂
  • 慢性稳定型冠状动脉疾病

诊断性检查

首要检查

  • 12 导联心电图
  • 血清肌钙蛋白
  • 血清钾
  • 血清钙
全部具体信息

需要考虑的检查

  • 24 小时动态心电图或者事件记录器监测
  • 胸部 X 线检查
  • 经胸超声心动图
  • Lyme 病的血清学检测
全部具体信息

治疗流程

贡献者

Consultant Cardiologist/Electrophysiologist

Royal Wolverhampton NHS Trust

Heart and Lung Centre

New Cross Hospital

Wolverhampton

UK

利益冲突披露
SP has received speaker's honoraria from Bayer, Bristol-Myers Squibb, MSD, and Pfizer. SP has received hospitality and/or accommodation from Bayer, Medtronic, St Jude, and Boston Scientific for attending conferences or meetings.

EP and Devices Fellow

New Cross Hospital

Wolverhampton

UK

利益冲突披露
JP declares that he has no competing interests.

Dr Petkar and Dr Pathiraja would like to gratefully acknowledge the assistance of Dr Arka Das. Dr Petkar would also like to gratefully acknowledge Dr Susan S. Kim, Dr John F. Beshai, and Dr Stephen L. Archer, previous contributors to this monograph. AD, SSK, JFB, and SLA declare that they have no competing interests.

同行评议专家 查看所有

Professor of Medicine

Section of Cardiology

Director

Cardiac Electrophysiology

University of Chicago Medical Center

Chicago

IL

利益冲突披露
BPK declares that he has no competing interests.

Associate Professor of Medicine

Section of Cardiology

Cardiac Electrophysiology

University of Chicago Medical Center

Chicago

IL

利益冲突披露
MCB declares that he has no competing interests.

Consultant Cardiologist

King’s College Hospital

London

UK

利益冲突披露
NG declares that he has no competing interests.

使用此内容应接受我们的免责声明